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Topic: WHAT DO YOU WANT Survey
We want to hear from our members as to what you want. We've put together a survey with one question so we know the improvements and changes that are most important to you. Please click HERE to take the survey.
Thank you for participating in this survey so we know what you want.
Sincerely,
ObesityHelp Management and Staff
Thank you for participating in this survey so we know what you want.
Sincerely,
ObesityHelp Management and Staff
Topic: RE: aetna insurance help?
Thanks- you too!
Pre-band highest weight: 244
Pre-band surgery weight: 233
Lowest: 199 ( for, like, a day)
CW: 260 (yes, with the band!)
Current Fill: 5cc in 10cc band
BMI: 49
Pre-band surgery weight: 233
Lowest: 199 ( for, like, a day)
CW: 260 (yes, with the band!)
Current Fill: 5cc in 10cc band
BMI: 49
Topic: RE: aetna insurance help?
Hi,
I'm in touch with both also, I have been sending some of my stuff out to GHP I guess I'll just wait for the last appointment and gather it all up. My requirements for surgery are the same for any WLS I don't have to meet anything different to have the DS thank goodness.
They keep asking me which surgery I want, I tell them I havent made up my mind seeing they don't offer the one I want. Just seems that its always much more difficult dealing with insurance compaines. Good luck with your approval. :)
I'm in touch with both also, I have been sending some of my stuff out to GHP I guess I'll just wait for the last appointment and gather it all up. My requirements for surgery are the same for any WLS I don't have to meet anything different to have the DS thank goodness.
They keep asking me which surgery I want, I tell them I havent made up my mind seeing they don't offer the one I want. Just seems that its always much more difficult dealing with insurance compaines. Good luck with your approval. :)
Topic: RE: Anthem BC/BS of NH -Insurance Nightmare Just starting
I realize I am reading this seven months later, but your story really BURNS ME UP. How could that happen???? And how many other times HAS it happened? We are HUMAN BEINGS!
Pre-band highest weight: 244
Pre-band surgery weight: 233
Lowest: 199 ( for, like, a day)
CW: 260 (yes, with the band!)
Current Fill: 5cc in 10cc band
BMI: 49
Pre-band surgery weight: 233
Lowest: 199 ( for, like, a day)
CW: 260 (yes, with the band!)
Current Fill: 5cc in 10cc band
BMI: 49
Topic: RE: Need some assistance with my appeal...please!!
3 YEARS? Dang! Cigna was 6 months but I just saw posted elsewhere it changed to 3 months. 3 YEARS is ridiculous!
Pre-band highest weight: 244
Pre-band surgery weight: 233
Lowest: 199 ( for, like, a day)
CW: 260 (yes, with the band!)
Current Fill: 5cc in 10cc band
BMI: 49
Pre-band surgery weight: 233
Lowest: 199 ( for, like, a day)
CW: 260 (yes, with the band!)
Current Fill: 5cc in 10cc band
BMI: 49
Topic: RE: 3 year weight recording for Insurance
They should take Weigh****chers. You won't know until you try...
Pre-band highest weight: 244
Pre-band surgery weight: 233
Lowest: 199 ( for, like, a day)
CW: 260 (yes, with the band!)
Current Fill: 5cc in 10cc band
BMI: 49
Pre-band surgery weight: 233
Lowest: 199 ( for, like, a day)
CW: 260 (yes, with the band!)
Current Fill: 5cc in 10cc band
BMI: 49
Topic: RE: Does this mean what I think it means?
Keep reading! I have Cigna too and mine also says that WLS is excluded....yada yada yada.....UNLESS MEDICALLY NECESSARY. I had to even help the surgeon's office read the policy correctly. Read it again!
Pre-band highest weight: 244
Pre-band surgery weight: 233
Lowest: 199 ( for, like, a day)
CW: 260 (yes, with the band!)
Current Fill: 5cc in 10cc band
BMI: 49
Pre-band surgery weight: 233
Lowest: 199 ( for, like, a day)
CW: 260 (yes, with the band!)
Current Fill: 5cc in 10cc band
BMI: 49
Topic: RE: Revision
Oh girl, I have been through this too. Get a copy of your entire medical report regarding your band appointments. My doc wrote WHATEVER he wanted! I was puking DAILY but he wrote "no vomiting." He reported that I was non- compliant with my diet too, except that I COULD NOT eat protein. I just puked it up. This is what I am fighting with now. He just didn't want to look bad and he just kept filling me up!!!
Here's what I did: I gave up and I went in and acting like I wanted to start over. I went every month or two to get weighed and to complain that I was vomiting and throwing up. I did this for 9 additional months. Now I have just re-submitting for a revision authorization.
What the insurance companies don't understand is that many of us CANNOT be compliant without vomiting... grrrrr.
The lawyers are expensive and they won't take your case unless they can win...so be careful. Once you are labeled "non- compliant" I think it's hard to get out from under that.
Here's what I did: I gave up and I went in and acting like I wanted to start over. I went every month or two to get weighed and to complain that I was vomiting and throwing up. I did this for 9 additional months. Now I have just re-submitting for a revision authorization.
What the insurance companies don't understand is that many of us CANNOT be compliant without vomiting... grrrrr.
The lawyers are expensive and they won't take your case unless they can win...so be careful. Once you are labeled "non- compliant" I think it's hard to get out from under that.
Pre-band highest weight: 244
Pre-band surgery weight: 233
Lowest: 199 ( for, like, a day)
CW: 260 (yes, with the band!)
Current Fill: 5cc in 10cc band
BMI: 49
Pre-band surgery weight: 233
Lowest: 199 ( for, like, a day)
CW: 260 (yes, with the band!)
Current Fill: 5cc in 10cc band
BMI: 49
Topic: RE: aetna insurance help?
I don't have Aetna but I am doing the same thing. I want a DS but am pretending that I want a sleeve and I have gotten all of the pre-op stuff done here. I have met with the DS surgeon though and I have been in touch with their office to help coordinate things.
I was denied for a revision May 2011 and then fought to the DMH****il 11/11. I just applied again with additional information. So I can't tell you how it will turn out.
It did NOT work to have the local doc submit for authorization last time. I thought if I could get a revision approved, I could change the surgery type later. Didn't work... With my insurance, requirements for the DS (the surgery I want) are different, so you'd better check that out.
This time I had the out of town surgoen's office send in the authorization, but I did all of the work locally. Does that make sense? In your case, it might be easier for you to do the same thing. Just have your records transferred to the new surgeon when you are finished with everything!
I was denied for a revision May 2011 and then fought to the DMH****il 11/11. I just applied again with additional information. So I can't tell you how it will turn out.
It did NOT work to have the local doc submit for authorization last time. I thought if I could get a revision approved, I could change the surgery type later. Didn't work... With my insurance, requirements for the DS (the surgery I want) are different, so you'd better check that out.
This time I had the out of town surgoen's office send in the authorization, but I did all of the work locally. Does that make sense? In your case, it might be easier for you to do the same thing. Just have your records transferred to the new surgeon when you are finished with everything!
Pre-band highest weight: 244
Pre-band surgery weight: 233
Lowest: 199 ( for, like, a day)
CW: 260 (yes, with the band!)
Current Fill: 5cc in 10cc band
BMI: 49
Pre-band surgery weight: 233
Lowest: 199 ( for, like, a day)
CW: 260 (yes, with the band!)
Current Fill: 5cc in 10cc band
BMI: 49
Topic: RE: BCBS NJ Direct Question
The insurance coordinator at your surgeon's office should know what the medically supervised diet should be. I'm Empire BCBS (I'm in NYC) and it's a 3 month medically supervised diet with their nutritionist, a psych eval, endo and colonosopy, blood work and cardiology.
Good luck! I'm still jumping through hoops, but when I get approved I won't have it done until early next year.
Good luck! I'm still jumping through hoops, but when I get approved I won't have it done until early next year.
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